My child has medications, allergies, or other information that I would like to share with a Children's Ministries Staff person. *

Yes

No

If you selected "yes", you will be contacted by a Children's Staff Member before fall activities begin.

In case of emergency, if parents cannot be reached, please call: *

Relationship to Child *

Emergency Contact Phone * ( ) - ext.

I understand that every effort will be made to reach me in the event of an emergency. I give my permission for the personnel of Meredith Drive Reformed Church to secure emergency medical treatment as deemed necessary, I agree to assume financial responsibility for this treatement. *

Doctor's Name *

Doctor's Phone Number * ( ) - ext.

Hospital Preference *

Your Name and Date *

My name in the field above acts as my signature and verifies that I am the person who completed this form. *

Good news! We have 300 of 360 volunteers needed to staff nursery, CW, SS and clubs.

The following are places to bless and be blessed, to grow faith and relationships. Serving times are flexible to help meet our variety of life's schedules.

If you have not already signed up to serve, please mark where you think you could best serve and a Children's Staff member will contact you with more information. If you are a visitor or already serving, please mark the appropriate option. *

If you are visiting or have been here less than a year, please check here so a kid's staff person can call and welcome you and/or answer questions you have about Children's Ministry.